Physical activity interventions using mass media, print media, and information technology

Marcus, Bess H.; Owen, Neville; Forsyth, LeighAnn H.; Cavill, Nick; Fridinger, Fred

doi:10.1016/s0749-3797(98)00079-8

Cited by 277 publications

(209 citation statements)

References 47 publications

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“…Compared with census data, the present study included a somewhat higher percentage of people of Dutch origin 33,34 . The high levels of campaign awareness were comparable to those found in other studies that used so-called 'small mass media', such as radio commercials, brochures and other promotion materials 20,35,36 . The present study shows that campaign awareness and message recall were 35 .…”

Section: Discussionsupporting

confidence: 82%

“…One such factor is that the audience has to be sufficiently exposed to the campaign messages and themes. Other conditions include using social marketing tools to create the appropriate messages for distribution, and using behaviour change theory to tailor messages to important mediators of behaviour change 20,21 . Mass media campaigns to promote healthy behaviours and discourage unhealthy behaviours have become a major tool to improve public health.…”

mentioning

confidence: 99%

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The impact of a national mass media campaign in The Netherlands on the prevention of weight gain

Wammes

Breedveld

Looman

et al. 2005

Public Health Nutr.

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Objective: A 5-year nationwide mass media campaign aimed at prevention of overweight was organised from 2002 onwards. The present study evaluates the first campaign, which was aimed primarily at increasing awareness of weight gain. Design and subjects: Data were collected by telephone interview in four independent cross-sectional surveys among non-obese Dutch adults aged 25-35 years (total n ¼ 1949) for statistical analyses. Awareness of personal body-weight status, overweight-related risk perceptions, attitudes towards weight-gain prevention, motivation to prevent weight gain and self-reported body mass index (BMI) were measured in each survey. Campaign exposure was assessed in the post-intervention surveys. To identify intervention effects over time multiple linear and logistic regression analyses were used, adjusted for secular time effects and age. Results: After the campaign about 65% of the respondents knew about the campaign. The campaign was associated with more positive attitudes towards the prevention of weight gain (b ¼ 0.16; P , 0.01) and higher self-reported BMI (b ¼ 0.14; P , 0.01). Conclusions:The results suggest that the first campaign reached a large proportion of the population and initiated some positive change in attitudes, but did not achieve significant improvements in other determinants of weight-gain prevention among non-obese young adults.

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Section: Discussionsupporting

confidence: 82%

mentioning

confidence: 99%

The impact of a national mass media campaign in The Netherlands on the prevention of weight gain

Wammes

Breedveld

Looman

et al. 2005

Public Health Nutr.

View full text Add to dashboard Cite

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“…Intuitively this assumtion seems apparent since life-style risk factors are often related and focusing on one specific factor may help modify another. There is only little direct evidence on this possibility (76). Existing studies do not evaluate the relative effectiveness of programs focusing on single or, alternatively, multiple risk factors.…”

Section: Factors That Affect Effectivenessmentioning

confidence: 99%

Health promotion trials at worksites and risk factors for cancer

Janer¹,

Sala²,

Kogevinas³

2002

Scand J Work Environ Health

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The following articles refer to this text: 2002;28(3) Studies of worksite health promotion have frequently reported larger effects than those at the community level.Many of these studies have serious methodological problems. Forty-five worksite health promotion trials following specific quality criteria were selected and estimated for behavioral changes in cancer risk factors and the effectiveness of different intervention components. Tobacco control programs found quit rates of about 5% with relapse rates of 40% to 80% at 6 months after the intervention. Effectiveness increased with the duration of the intervention for at least 6 months, repeated contacts with the participants, continuous support, and tailored messages. There was less evidence for the long-term effectiveness of incentives. Trials on diet, alcohol, physical activity, overweight, and solar radiation showed the same positive trends. The overall evidence indicates a modest but positive effect of health promotion trials at worksites and the effect, for smoking cessation trials, is slightly larger than that of community-based trials. Many of the recommendations made to increase participation and effectiveness were not based on empirical data.

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“…Most reviews, including meta-analyses, have focused on benefits of PA. The many narrative reviews focused on PA behavior outcomes have examined limited domains of this broad literature, such as computer-tailored interventions [1]; primary care-based interventions [2][3][4][5]; environmental interventions [6,7]; mass media-delivered interventions [8]; interventions designed to increase 'lifestyle' PA (versus episodic exercise) [9,10]; interventions targeting older adults [11,12]; studies addressing subpopulations such as AfricanAmericans [13][14][15][16][17][18][19]; and intervention studies based on particular theoretical models [20]. Narrative reviews discussing PA behavior outcomes often address very few of the available studies [21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

224

177

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Objective-This meta-analysis integrates primary research testing the effect of patient education to increase physical activity (PA) on behavior outcomes among adults with diverse chronic illnesses.Methods-Extensive literature searching strategies located published and unpublished intervention studies that measured PA behavior outcomes. Primary study results were coded. Fixed-and randomeffects meta-analytic procedures included moderator analyses.Results-Data were synthesized across 22,527 subjects from 213 samples in 163 reports. The overall mean weighted effect size for two-group comparisons was 0.45 (higher mean for treatment than control). This effect size is consistent with a difference of 48 minutes of PA per week or 945 steps per day. Preliminary moderator analyses suggest interventions were most effective when they targeted only PA behavior, used behavioral strategies (vs. cognitive strategies), and encouraged PA self-monitoring. Differences among chronic illnesses were documented. Individual strategies unrelated to PA outcomes included supervised exercise sessions, exercise prescription, fitness testing, goal setting, contracting, problem solving, barriers management, and stimulus/cues. PA outcomes were unrelated to gender, age, ethnicity, or socioeconomic distribution among samples.Conclusion-These findings suggest that some patient education interventions to increase PA are effective, despite considerable heterogeneity in the magnitude of intervention effect.Practice Implications-Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.

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Physical activity interventions using mass media, print media, and information technology

Cited by 277 publications

References 47 publications

The impact of a national mass media campaign in The Netherlands on the prevention of weight gain

The impact of a national mass media campaign in The Netherlands on the prevention of weight gain

Health promotion trials at worksites and risk factors for cancer

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

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